Jackson, John W
Jackson, John W is an individual health care provider with primary practice located at 1300 E Center St , Provo UT 84606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, John W can be contacted via phone (801) 344-4400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2763461205 | Utah |
Profile Details
| NPI number | 1548321862 |
|---|---|
| LBN Legal business name | Jackson, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Dec 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548321862 | NPPES |
| Utah | MEDICAID | 870212456036 | |
| Utah | MEDICAID | D0978 |
Popular Providers
-
Robinson, Aaron M.
1959 N State St , Provo UT 84604-1012 -
Inouye, Jordan Lau
1134 N 500 W Suite #102, Provo UT 84604-3383 -
Robins, Marc Sune
1034 N 500 W , Provo UT 84604-3380 -
Jones, Justin Earl
1055 N 500 W Bldg A , Provo UT 84604-3305 -
Savage, Shelly
1900 N State St , Provo UT 84604-1341 -
Hess, Dennis C
2230 N University Pkwy Suite 1A, Provo UT 84604-1509 -
Goettsche, Denise S
1300 E Center St , Provo UT 84606-3554 -
Wylie, Wesley D
280 River Park Dr Suite 350, Provo UT 84604-5764